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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - April 12, 2019
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
August 04, 2021 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - September 15, 2021
Guidance for health care leaders during the recovery stage of the
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psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
May 25, 2022 - September 20, 2012
Guidance for health care leaders during the recovery stage of the
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - – Recognition: birthing facilities should actively manage the third stage of labor,
define early … hemorrhage risk at the time of delivery due to her emergent
cesarean delivery while in the second stage … success, ultimately contributing to quality improvement.9, 10
• The Joint Commission also recommends stage-based
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - The Case
An 83-year-old man with chronic kidney disease and end-stage congestive heart failure (CHF) … Dying of end-stage heart failure and renal failure can be relatively peaceful, but it may also require … Palliative care in end-stage renal disease: illness trajectories, communication, and hospice
use. … The use of opioid analgesia in end-
stage renal disease patients managed without dialysis: recommendations
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psnet.ahrq.gov/node/842415/psn-pdf
January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in
mixtures prepared by anesthetists.
January 11, 2023
Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures
prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097/pts.0000000000001061.
https://…
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psnet.ahrq.gov/node/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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psnet.ahrq.gov/node/46648/psn-pdf
March 14, 2018 - Parenteral nutrition errors and potential errors reported
over the past 10 years.
March 14, 2018
Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the
Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/0884533617715868.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - January 23, 2019
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - June 17, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
May 07, 2018 - Related Resources From the Same Author(s)
Anticoagulant safety takes center stage
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psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
December 24, 2008 - January 4, 2017
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/pathways-patient-safety
May 06, 2015 - September 4, 2018
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Resources From the Same Author(s)
Hearing on Patient Safety and Quality Issues in End Stage
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - May 27, 2015
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.